BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION

JOHNSON CITY, TN
NPI1417453440
Doing Business AsBALLAD HEALTH MEDICAL ASSOCIATES
Doing Business AsEAST TENNESSEE BRAIN AND SPINE CENTER AN AFFILIATE OF MSMG
Other NameBHMA NEUROSURGERY, SPINE AND REHABILITATION JOHNSON CITY
Other NameBHMA NEUROSURGERY, SPINE AND REHABILITATION KINGSPORT
Entity TypeOrganization
Authorized ContactCARL KILGORE
President
423-302-3051
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Additional Taxonomies363A00000X Physician Assistant
363AS0400X Physician Assistant, Surgical
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
Enumeration Date2018-03-30
Last Update Date2019-03-29
Business Address
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604-2365
Phone number: 423-232-8301
Mailing Address
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
701 MED TECH PKWY STE 300
JOHNSON CITY, TN 37604-2365
Phone number: 423-232-8301